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Competency assessment

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https://www.readbyqxmd.com/read/29655689/european-regulation-model-for-herbal-medicine-the-assessment-of-the-eu-monograph-and-the-safety-and-efficacy-evaluation-in-marketing-authorization-or-registration-in-member-states
#1
Liping Qu, Wenjun Zou, YiTao Wang, Mei Wang
BACKGROUND: The European Union (EU) has created a regulatory framework for herbal medicinal products (HMPs) since the enforcement of Directive 2004/24/EC. Substantial achievements have been made, with 1719 traditional use marketing registrations (TURs) and 859 well-established use marketing authorizations (WEU-MAs) for HMPs granted by the end of 2016. Apparently, the European regulation model has worked out well and in that the essential feature is the use of EU herbal monographs into those granted WEU-MAs and TURs...
March 15, 2018: Phytomedicine: International Journal of Phytotherapy and Phytopharmacology
https://www.readbyqxmd.com/read/29653398/growth-of-symbolic-number-knowledge-accelerates-after-children-understand-cardinality
#2
David C Geary, Kristy vanMarle
Children who achieve an early understanding of the cardinal value of number words (cardinal knowledge) have a superior understanding of the relations among numerals at school entry, controlling other factors (e.g., intelligence). We tested the hypothesis that this pattern emerges because an understanding of cardinal value jump starts children's learning of the relations among numerals. Across two years of preschool, the cardinal knowledge of 179 children (85 boys) was assessed four times, as was their understanding of the relative quantity of Arabic numerals and competence at discriminating nonsymbolic quantities...
April 10, 2018: Cognition
https://www.readbyqxmd.com/read/29652934/the-quest-for-a-non-vector-psyllid-natural-variation-in-acquisition-and-transmission-of-the-huanglongbing-pathogen-candidatus-liberibacter-asiaticus-by-asian-citrus-psyllid-isofemale-lines
#3
El-Desouky Ammar, David G Hall, Saeed Hosseinzadeh, Michelle Heck
Genetic variability in insect vectors is valuable to study vector competence determinants and to select non-vector populations that may help reduce the spread of vector-borne pathogens. We collected and tested vector competency of 15 isofemale lines of Asian citrus psyllid, Diaphorina citri, vector of 'Candidatus Liberibacter asiaticus' (CLas). CLas is associated with huanglongbing (citrus greening), the most serious citrus disease worldwide. D. citri adults were collected from orange jasmine (Murraya paniculata) hedges in Florida, and individual pairs (females and males) were caged on healthy Murraya plants for egg laying...
2018: PloS One
https://www.readbyqxmd.com/read/29652816/the-emergency-medical-system-in-greece-opening-aeolus-bag-of-winds
#4
Ourania S Kotsiou, David S Srivastava, Panagiotis Kotsios, Aristomenis K Exadaktylos, Konstantinos I Gourgoulianis
An Emergency Medical Service (EMS) system must encompass a spectrum of care, with dedicated pre-hospital and in-hospital medical facilities. It has to be organised in such a way as to include all necessary services—such as triage accurate initial assessment, prompt resuscitation, efficient management of emergency cases, and transport to definitive care. The global economic downturn has had a direct effect on the health sector and poses additional threats to the healthcare system. Greece is one of the hardest-hit countries...
April 13, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29651962/phase-iv-studies-some-insights-clarifications-and-issues
#5
Elia Mario Biganzoli, Bruno Mario Cesana
BACKGROUND: There is an increasing need to face regulatory aspects as well as ethics and scientific ones in the pharmaceutical research phase after the authorization of a drug. Traditionally, the Phase IV studies, after the authorization for a drug to be marketed by the Competent Authority like the Food and Drug Administration (FDA) (in Europe, European Medicine Agency -EMA- through National Procedures or Community Procedures) have been considered mainly aimed to the assessment of the new drug safety profile...
April 12, 2018: Current Clinical Pharmacology
https://www.readbyqxmd.com/read/29651940/proteomics-in-human-assisted-reproduction
#6
Mauro Bibancos De Rose, Mariana Moraes Piccolomini
Assisted reproduction techniques (ART) have significantly advanced since the first successful in vitro fertilization (IVF). However, most in vitro-produced embryos fail to implant. Key steps in ART are the correct infertility diagnosis, in order to manage the individual treatments, and the assessment of gamete and embryo viability, to identify the embryo with the best implantation potential. Non-invasive approaches to correctly diagnose infertility and to access embryo development potential have the advantages of increasing the knowledge of embryo physiology, therefore allowing the development of methods to predict developmental competence and viability...
April 12, 2018: Protein and Peptide Letters
https://www.readbyqxmd.com/read/29651321/specialty-training-in-family-medicine-in-montenegro-an-evaluation-of-the-programme-by-the-first-generation-of-trainees
#7
Marija Petek Šter, Ljiljana Cvejanov Kezunović, Milena Cojić, Davorina Petek, Igor Švab
Introduction: One of the aims of health care reform in Montenegro is to strengthen primary care. An important step forward is the implementation of specialty training in family medicine (FM). The aim of this article is to evaluate the implementation of specialty training in family medicine in Montenegro, regarding the content, structure and methods, by the first generation of trainees and the coordinator of the training. Methods: A questionnaire was sent by mail in July and August 2017 to all 26 eligible trainees who started specialty training in 2013...
June 2018: Zdravstveno Varstvo
https://www.readbyqxmd.com/read/29651046/understanding-physical-in-activity-overweight-and-obesity-in-childhood-effects-of-congruence-between-physical-self-concept-and-motor-competence
#8
T Utesch, D Dreiskämper, R Naul, K Geukes
Both the physical self-concept and actual motor competence are important for healthy future physical activity levels and consequently decrease overweight and obesity in childhood. However, children scoring high on motor competence do not necessarily report high levels of physical self-concept and vice versa, resulting in respective (in-) accuracy also referred to as (non-) veridicality. This study examines whether children's accuracy of physical self-concept is a meaningful predictive factor for their future physical activity...
April 12, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29650483/solid-cystic-and-tubular-novice-ultrasound-skills-training-using-a-versatile-affordable-practice-model
#9
Shruti Sevak, Benjamin Lurvey, Ashley A Woodfin, Zachary Hothem, Rose E Callahan, James Robbins, Kathryn Ziegler
OBJECTIVE: In spite of the recognized benefits of ultrasound, many physicians have little experience with using ultrasound to perform procedures. Many medical schools and residency programs lack a formal ultrasound training curriculum. We describe an affordable ultrasound training curriculum and versatile, inexpensive practice model. DESIGN: Participants underwent a didactic session to teach the theory required to perform ultrasound-guided procedures. Motor skills were taught using a practice model incorporating analogs of common anatomic and pathologic structures into an opacified gelatin substrate...
April 9, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29650414/joint-laxity-in-preschool-children-born-preterm
#10
Domenico M Romeo, Chiara Velli, Simona Lucibello, Gloria Ferrantini, Giuseppina Leo, Claudia Brogna, Francesco Cota, Daniela Ricci, Francesca Gallini, Costantino Romagnoli, Giovanni Vento, Eugenio Mercuri
OBJECTIVE: To evaluate the prevalence of joint laxity in children born preterm assessed in the first 2 years, the relationship between joint laxity and motor performance at preschool age, and possible changes over time in a subgroup of children followed longitudinally. STUDY DESIGN: The revised scale of Beighton Score was used to evaluate joint laxity in a population of 132 preschool children born preterm between 24 and 32 weeks of gestational age. All were assessed for joint laxity between 12 and 24 months of age...
April 9, 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/29650312/tree-based-models-for-survival-data-with-competing-risks
#11
Malgorzata Kretowska
OBJECTIVE: Tree-based models belong to common, assumption-free methods of data analysis. Their application in survival data is narrowed to univariate models, which partition the feature space with axis-parallel hyperplanes, meaning that each internal node involves a single feature. In this paper, I extend the idea of oblique survival tree induction for competing risks by modifying a piecewise-linear criterion function. Additionally, the use of tree-based ensembles to analyze the competing events is proposed...
June 2018: Computer Methods and Programs in Biomedicine
https://www.readbyqxmd.com/read/29649669/360%C3%A2-virtual-reality-video-for-the-acquisition-of-knot-tying-skills-a-randomised-control-trial
#12
S Yoganathan, D A Finch, Ed Parkin, James Pollard
BACKGROUND: 360° virtual reality (VR) video is an exciting and evolving field. Current technology promotes a totally immersive, 3-dimensional (3D), 360° experience anywhere in the world using simply a smart phone and virtual reality headset. The potential for its application in the field of surgical education is enormous. The aim of this study was to determine knot tying skills taught with a 360-degree VR video compared to conventional 2D video teaching. MATERIAL AND METHODS: This trial was a prospective, randomised controlled study...
April 9, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29648966/kindergarteners-narrative-competence-across-tasks-and-time
#13
Giuliana Pinto, Christian Tarchi, Beatrice Accorti Gamannossi
The authors investigated children's narrative competence by analyzing the development of the reciprocal relationship between storytelling and story retelling performances over a school year through a cross-lagged panel design. The participants in this study were 170 Italian kindergarten pupils (M age = 4.98 ± 0.31 years). Children were asked to produce oral narratives in two different tasks: a storytelling and a story retelling task. Narrative competence was assessed in terms of structure and coherence. The cross-lagged panel analyses showed that both storytelling and story retelling tasks are stable constructs, but they differ in the emphasis on coherence...
April 12, 2018: Journal of Genetic Psychology
https://www.readbyqxmd.com/read/29648952/reliability-and-validity-evidence-of-the-assessment-of-language-use-in-social-contexts-for-adults-alusca
#14
Ana Rita S Valente, Andreia Hall, Helena Alvelos, Margaret Leahy, Luis M T Jesus
BACKGROUND: The appropriate use of language in context depends on the speaker's pragmatic language competencies. A coding system was used to develop a specific and adult-focused self-administered questionnaire to adults who stutter and adults who do not stutter, The Assessment of Language Use in Social Contexts for Adults, with three categories: precursors, basic exchanges, and extended literal/non-literal discourse. This paper presents the content validity, item analysis, reliability coefficients and evidences of construct validity of the instrument...
April 12, 2018: Logopedics, Phoniatrics, Vocology
https://www.readbyqxmd.com/read/29648593/validity-and-reliability-of-the-turkish-version-of-the-european-health-literacy-survey-questionnaire
#15
Filiz Abacigil, Hacer Harlak, Pinar Okyay, Didem Evci Kiraz, Selen Gursoy Turan, Gulnur Saruhan, Kagan Karakaya, Hakan Tuzun, Emine Baran Deniz, Omer Tontus, Erdal Beser
Health literacy is a public health priority which refers to individual's knowledge, motivation and competence to access, understand, appraise and apply health information to prevent disease and promote health in daily life. This study aimed to adapt European Health Literacy Survey Questionnaire (HLS-EU-Q47) into Turkish and to investigate its psychometric properties. The questionnaire was translated into Turkish by using both group translation and expert opinion methods. Forward translation-back translation method was used for language validity and the final Turkish version (HLS-TR) was formed...
April 10, 2018: Health Promotion International
https://www.readbyqxmd.com/read/29648571/engaging-fathers-to-increase-physical-activity-in-girls-the-dads-and-daughters-exercising-and-empowered-dadee-randomized-controlled-trial
#16
Philip J Morgan, Myles D Young, Alyce T Barnes, Narelle Eather, Emma R Pollock, David R Lubans
Background: Existing strategies to increase girls' physical activity levels have seen limited success. Fathers may influence their children's physical activity, but often spend more time with their sons and rarely participate in family-based programs. Purpose: To test a novel program designed to increase the physical activity levels of fathers and their daughters. Methods: In a two-arm RCT, 115 fathers (29-53 years) and 153 daughters (4-12 years) were randomized to (i) the "Dads And Daughters Exercising and Empowered" (DADEE) program, or (ii) a wait-list control...
April 10, 2018: Annals of Behavioral Medicine: a Publication of the Society of Behavioral Medicine
https://www.readbyqxmd.com/read/29644143/-certified-%C3%A2-now-what-on-the-challenges-of-lifelong-learning-report-from-an-amee-2017-symposium
#17
Carolin Sehlbach, Martin Balzan, Jonathan Bennett, Helena Prior Filipe, Ebbe Thinggaard, Frank Smeenk
The increasing mobility of patients and healthcare professionals across the countries of Europe has highlighted the wide variations in both medical training, and provision of medical competency and skills. The maintenance of the standards defining competency and skills have national and international implications and have proved challenging for national regulatory bodies. Thus each nation has introduced different types of Continuing Professional Development (CPD), recertification and relicensing systems. At the Symposium entitled: " 'Certified … now what?' On the Challenges of Lifelong Learning" in August 2017 at the Association for Medical Education in Europe (AMEE) annual conference, we reviewed differing European national relicensing systems were reviewed...
2018: Journal of European CME
https://www.readbyqxmd.com/read/29644056/lung-ultrasonography-in-end-stage-renal-disease-moving-from-evidence-to-practice-a-narrative-review
#18
Daniel W Ross, Mohammed M Abbasi, Kenar D Jhaveri, Mala Sachdeva, Ilene Miller, Richard Barnett, Mangala Narasimhan, Paul Mayo, Massini Merzkani, Anna T Mathew
Traditionally, point of care ultrasonography in nephrology has been used for renal biopsies and dialysis line placement. However, there is an emerging literature supporting the value of point of care lung ultrasonography in the assessment of volume status for dialysis patients. We conducted a review and identified 12 studies that examined the utility of lung ultrasonography in assessing volume status in patients with end-stage renal disease. We conclude that lung ultrasonography can be used to determine volume status in chronic dialysis patients by identifying lung congestion using the B-line score...
April 2018: Clinical Kidney Journal
https://www.readbyqxmd.com/read/29644053/the-dialysis-orders-objective-structured-clinical-examination-osce-a-formative-assessment-for-nephrology-fellows
#19
Lisa K Prince, Ruth C Campbell, Sam W Gao, Jessica Kendrick, Christopher J Lebrun, Dustin J Little, David L Mahoney, Laura A Maursetter, Robert Nee, Mark Saddler, Maura A Watson, Christina M Yuan
Background: Few quantitative nephrology-specific simulations assess fellow competency. We describe the development and initial validation of a formative objective structured clinical examination (OSCE) assessing fellow competence in ordering acute dialysis. Methods: The three test scenarios were acute continuous renal replacement therapy, chronic dialysis initiation in moderate uremia and acute dialysis in end-stage renal disease-associated hyperkalemia. The test committee included five academic nephrologists and four clinically practicing nephrologists outside of academia...
April 2018: Clinical Kidney Journal
https://www.readbyqxmd.com/read/29629179/the-relationship-of-gross-upper-and-lower-limb-motor-competence-to-measures-of-health-and-fitness-in-adolescents-aged-13-14-years
#20
Benjamin David Weedon, Francesca Liu, Wala Mahmoud, Renske Metz, Kyle Beunder, Anne Delextrat, Martyn G Morris, Patrick Esser, Johnny Collett, Andy Meaney, Ken Howells, Helen Dawes
Introduction: Motor competence (MC) is an important factor in the development of health and fitness in adolescence. Aims: This cross-sectional study aims to explore the distribution of MC across school students aged 13-14 years old and the extent of the relationship of MC to measures of health and fitness across genders. Methods: A total of 718 participants were tested from three different schools in the UK, 311 girls and 407 boys (aged 13-14 years), pairwise deletion for correlation variables reduced this to 555 (245 girls, 310 boys)...
2018: BMJ Open Sport & Exercise Medicine
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